HomeMy WebLinkAboutSWG2025-00117 - SWG Application / Design - 4/4/2025 A" ... MASON COUNTY 415 N 6TH STREET,SHELTON,WA 98584
SHELTON: 360-427-9670, EXT 400
BELFAIR:360-275-4467,EXT 400
Public Health & Human Services ELMA:360-482-5269,EXT 400
FAX:360-427-7787
On-Site Sewage System Permit: SWG2025-00117
APPLICANT Hunter, Adam Phone: 360 753-1226
Address: 2201 93rd Ave SW Olympia, WA 98512
OWNER MAST JEFFREY DONALD & DALLAS Phone: 425-248-1693
LORRAINE
Address: PO BOX 421 HOODSPORT, WA 98548
SEPTIC DESIGNER ADAM HUNTER* Phone: 360-753-1226
Address: PO Box 162 OLYMPIA, WA 98507
Site Address: UNKNOWN
Primary Parcel Number: 422165200113
Permit Description: New 2bd ATU to subsurface drip
Permit Submitted Date: 04/04/2025
Permit Issued Date: 05/20/2025
Issued By: Rhonda Thompson
Current Permit Fees Paid: $555.00 (additional fees may be required upon installation of system).
Permit Expiration Date: 04/23/2028 (based on date of inspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staff per Mason County Title 17.
2 Permit must be installed by a Mason County Certified Installer unless prior written
authorization from Mason County is obtained.
3 Drain field installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to backfill of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backfill of system components.
6 Mason County Asbuilt Form, Record Drawing. and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/health/environmental/onsiteloss-inspection-request.php or call:
360-427-9670, extension 400.
CLEAR FORM
OFFICIAL USE ONLY
MASON COUNTY PUBLIC HEALTH DATE RECEIVED: 4/4/2025
CA ONSITE SEWAGE SYSTEM APPLICATION AMOUNT RECEIVED: RECEIVED BY: W N
415 N 6th Street,(Bldg 8) Shelton WA,98584 555 Online < cn
Shelton:360-427-9670 ext 400 Belfair:360-275-4467 ext 400 SWIG 2 02 5 - 00117 p 0
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APPLICANT PHONE > >
JEFF MAST 4252481693 m xi
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MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE r
PO BOX 421 HOODSPORT WA 98548 c
SITE ADDRESS-STREET,CITY,ZIP CODE W
20 N KINGS WAY N HOODSPORT WA 98548 m
•
NAME OF DESIGNER PHONE I
ADAM HUNTER 3607531226
NAME OF INSTALLER PHONE
TBD
CHECK ALL APPLICABLE ITEMS DRINKING WATER SOURCE 0
C
❑ NEW CONSTRUCTION ❑ RV HOLDING TANK ONLY 0 PRIVATE INDIVIDUAL WELL
O REPLACEMENT SYSTEM ElINSTALLATION PERMIT ONLY 0 PRIVATE TWO-PARTY WELL O -A
❑ TABLE 9 REPAIR ❑ SINGLE FAMILY IS COMMUNITY/PUBLIC WATER SYSTEM Z I fV
ElTANK(S)ONLY ❑ COMMERCIAL SYSTEM NAME: LAKECUSHMAN I?)
O UPGRADE TO EXISTING 0 OTHER: BEDROOMS LOT SIZE 1
CZ
❑ EXISTING FAILURE "Record Drawing required 2 0.23 W (.11
for all Installations" r N)
O
DIRECTIONS TO SITE-BE SPECIFIC AND ADVISE OF ANY NEEDED INFORMATION FOR ACCESS(ex locked gate)
RAINBOW TO A RIGHT ON CHINOOK TO A RIGHT ON KINGS WAY TO SITE ON THE 7 I
RIGHT. I W
I— I
O
I
SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS I
OFFICIAL USE ONLY BELOW THIS LINE
UPGRADE/FAILURE SOURCE(for reporting purposes)
❑VOLUNTARY 0 MAINTENANCE/PUMPING ❑BUILDING PERMIT ['HOME SALE ❑COMPLAINT 0 OTHER:
INSPECTOR SOIL LOGS COMMENTS/CONDITIONS
li
TH1: 0-26 GSL, 26+ till (reserve)
TH2: 0-23/24 GSL, 23/24+ till
TH3: 0-28/30 VGSL, 28/30+ till
SOIL CODES:
V=VERY G=GRAVELLY S=SAND L=LOAM S,=SILT C=CLAY E=EXTREMELY R=ROOTS
INSPECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED BY DATE
fR tktr N°W " 4/23/25 4/23/28 EH APPROVED
Rno^ca Tnompsor 05'2C+2025
THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 12/7/2015
DESIGN FORM—PAGE ONE Assessor's Parcel Number: 4221$-52-00413
A design will be reviewed when 3 copies of each of the following are submitted:
''Completed design form that has been signed and dated. ''Scaled layout sketch, including all applicable items on checklist
'' Scaled plot plan,including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist.
This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: II"X 17"
PARCEL IDENTIFICATION
Permit Number: SWG 2025-00117 Designer's Name: ADAM HUNTER
Applicant's Name: JEFF MAST Designer's Phone Number: 360-753-1226
Mailing Address: PO BOX 421 Designer's Address: PO BOX 162
HOODSPORT WA 98548 OLYMPIA WA 98507
CLEAR FORM
1 City State Zip City State Zip
DESIGN PARAMETERS
1
Treatment Device
❑Glendon Biofilter 0 Sand Filter 0 Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type:
6YAerobic Unit Make/Model BNR500 0 Disinfection Unit Make/Model Other:
Drainfield Type
❑ Gravity 0 Pressure ❑ Trench ❑ Bed 6'Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number of Bedrooms 2 Schedule/Class DRIP
Daily Flow: Operating Capacity 180 gpd Length TOTAL=325 ft
Daily Flow: Design Flow 240 gpd Diameter 1/2 in
Septic Tank Capacity 1000 gal Number 2(175FT AND 150FT)
Receiving Soil Type(1-6) 4 Separation 2 ft
Receiving Soil Appl. Rate 0.6 gpd/ft2 Orifices
Required Primary Area 600 ft2 Total Number of Orifices D
Designed Primary Area 600 ft2 Diameter DRIP in
Designed Reserve Area 400 ft2 Spacing DRIf2 in
Trench/Bed Width PER DRIP ft Manifold
Trench/Bed Length PER DRIP ft Schedule/Class 40
Elevation Measurements Length 40 ft
Original Drainfield Area Slope 0 % Diameter 1 in
New Slope, If Altered 0 a/o Preferred manifold configuration used? E'Yes 0 No
Depth of Excavation Up-slope 12 in Transport Pipe
from Original Grade Dorm-slope 12 in Schedule/Class 40
Designed Vertical Separation 12 in Length 50 ft
Gravelless Chambers Required? 0 Yes etNo 0 Optional Diameter 1 in
Pump Required? EYes 0 No Dosing and Pump Chamber
Pump/Siphon Specifications Number of doses/day 12
Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 20 gal
Orifice 3 ft Chamber Capacity 1000 gal
Uppermost Orifice Ilif Higher 0 Lower than Pump Shutoff Pump controls:Please check those required.
Capacity @ Total Pressure Head 6.3 gpm Timer 6d`Elapse Meter 'Event Counter
Calculated Total Pressure Head sa ft If Timer: Pump on 20GAL ,Pump off 2 HRS
Comments
EH APPROVED
Rhonda Thompson 05/20/2025
DESIGN FORM—PAGE TWO Assessor's Parcel Number: 42216-52-0011-3 --
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
Ef Test hole locations ' Drainfield orientation and layout Reference depth from original grade:
g Soil logs ' Trench/bed dimensions and Septic tank
g Property lines critical distances within layout ®' Drainfield cover
' Existing and proposed wells ' D-BoxNalve box locations Reference depth from original grade
within 100 ft of property g Septic tank/pump chamber and restrictive strata:
12 Measurements to cuts, banks, and locations
surface water and critical areas g Observation port location 0 Laterals,trench bed,top and
bottom
12 Location and orientation of a Clean-out location 0 Curtain drain collector
curtain drain and all absorption Eai Manifold placement 0 Sand augmentation
components M Orifice placement Other cross-section detail:
9' Location and dimension of a Observation ports/clean-outs
primary system and reserve area Lateral placement with distance
to edge of bed Other Information
12 Buildings
g Audible/visual alarm referenced Yes No
a Direction of slope indicator
M Scale of drawing shown on scale li ❑ Design staked out
9 Waterlines bar 0 0 Recorded Notices attached
fl Roads,easements,driveways, 0 0 Waiver(s)attached
parking 0 0 Pump curve attached
E North arrow and scale drawing 0 0 Evaluation of failure
shown on scale bar Non-residential justification
❑ ❑ Waste strength
❑ ❑ Flow
DESIGN APPROVAL
The undersigned designer ust be ' e by installer at time of installation 0 Yes 0 No
5/13/25
ature of Designer Date
The undersigned has reviewed th. design on behalf of Mason County Public Health and determined it to be in
compliance with state and local on-site regulations:
c?..Aihoityky, o-irt 5/20/25
Environmental Health Specialist Date
CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION:
✓ The design is stamped"Approved" by Mason County Public Health.
✓ 4/23/28
The Onsite Sewage Permit has not expired,the Permit Expiration Date is:_
✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval.
Please Note: The system must be installed by a certified installer,
unless prior authorization is obtained from Mason County Public Health.
An Installation Fee is required.
This form may be scanned and available for public view on the Mason County Web site.
Updated Date: 12/7/2015
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1 Orenco Technical Data Sheet
SYSTEMS
Using a Pump Curve
A pump curve helps you determine the best pump for your system.Pump curves show the relationship between flow and pressure(total dynamic
head or"TDH"),providing a graphical representation of a pump's optimal performance range.Pumps perform best at their nominal flow rate.These
graphs show optimal pump operation ranges with a solid line and flow rates outside of these ranges with a dashed line. For the most accurate pump
specification,use Orenco's PumpSelect"software.
Pump Curves
I f 1 1
5 F10 Series,60 Hz,0.5-1.0 hp, PF20 Series,60 Hz,0.5-1.5 hp I-
400 1,011111Primm
■■■ m�s����e,J 350 '
+r ■■■■■■■■■■■■ w PF2015�
m PF�1�C■■■■■■■■■■■■■ .cu
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p7 ■,�■■■■■■■■■■ O� 250 : ......... ..........a 250 5 ■■■,M■■■■■■■■■■ a —
m .... � 200
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■■■■■■■i�■■■■■■■:u 0 .
0 2 4 6 10 12 14 16 18 0 5 10 15 20 25 30 35 40
Flow in gallons per minute (gpm) Flow in gallons per minute (gpm)
900 i i
PF3050 -' PF30 Series,60 Hz,0.5-5.0 hp -
800
IS ".
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c 700 - ,.
5/13/25
= 600 j r a•t+
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500 `u.•„}'' -.
c� 400 PF3020 \Yr t...,;;:.:?.
cQ PF3015 • ADAU J.HUNTER
-a PF3010I ;sn�na Y 300 26 �>
;n 200 •..• . .. ....
F.. PF3007 _ ..... -- --Ili \
100-1pF30051 -,,...
0 ' I EH APPROVED
0 5 10 15 20 25 30 35 40 45 Rhonda Thompson 05/20/2025
Flow in gallons per minute (gpm)
NTD-PU-PF-5 Orenco Systems®•800-348-9843•+1 541-459-4449•www.orenco.com
Rev.3®01/21
Page 4 of 5
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